| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
864 |
500 |
$89K |
| 0502F |
|
507 |
341 |
$24K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$11K |
| 59430 |
|
28 |
28 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75 |
69 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
28 |
$2K |
| 0500F |
|
14 |
13 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
13 |
$1K |
| 81025 |
|
18 |
12 |
$93.06 |
| 81002 |
|
32 |
26 |
$80.60 |
| 81003 |
|
28 |
13 |
$61.04 |